The nurse is caring for a newborn receiving an exchange transfusion for hemolytic disease. Assessment of the newborn reveals slight respiratory distress and tachycardia. Which should the nurse's first action be?

Correct Answer: B

Rationale: Slight respiratory distress and tachycardia in a newborn during an exchange transfusion may indicate a possible transfusion reaction or overload. The first action the nurse should take is to stop the transfusion to prevent any further complications and assess the newborn's condition. After stopping the transfusion, the nurse can then take appropriate steps such as notifying the practitioner, administering medications, or providing supportive care as needed.

Correct Answer: C

Rationale: Intraoperative outcomes refer to the immediate goals and conditions that are assessed during a surgical procedure. Maintaining skin integrity is a crucial intraoperative outcome for a patient undergoing an inguinal hernia repair surgery. This outcome focuses on ensuring that the patient's skin remains intact, without any damage or breakdown during the surgical procedure. It involves proper positioning of the patient, adequate support to vulnerable areas, and meticulous monitoring of the skin throughout the surgery to prevent any pressure injuries or skin trauma. Other outcomes listed, such as verbalizing fears, demonstrating leg exercises, and explaining breathing exercises, are more pertinent to preoperative or postoperative care rather than intraoperative outcomes.

Correct Answer: D

Rationale: A. Symptoms of food poisoning can indeed include salivation (due to excess saliva production), cramping, nausea, vomiting, and diarrhea. These symptoms are common manifestations of foodborne illnesses caused by harmful bacteria or toxins present in contaminated food.

Correct Answer: D

Rationale: Prolonged aspirin therapy can lead to a rare side effect known as aspirin-induced hearing loss, which manifests as bilateral hearing loss. This adverse reaction is typically associated with higher doses of aspirin and longer durations of use. It is important for healthcare providers to monitor for signs of hearing loss in patients receiving long-term aspirin therapy, especially those with rheumatoid arthritis or other inflammatory conditions, to prevent irreversible damage to the hearing. Weight gain, respiratory acidosis, and fine motor tremors are not commonly associated with prolonged aspirin therapy.

Correct Answer: C

Rationale: The best treatment for cancer at the present time is complete surgical removal before metastasis occurs. Surgery is often the most effective method to remove the primary tumor and eliminate cancer cells in the affected area. While chemotherapy and radiation therapy are important in treating cancer, surgical removal of the tumor provides the best chance for complete eradication of cancer cells, especially if it is done before the cancer has spread to other parts of the body.